Clinical Research Directory

Inclusion Criteria: * PRACTICES: Are located in the 20-county target region * PRACTICES: Have an adolescent patient population \>= 150 (aged 9-18) * PRACTICES: Administer adolescent vaccines (e.g., HPV, Tdap, MCV4) * PRACTICES: Are willing to share aggregate practice and patient-level data (e.g., electronic health record \[EHR\], surveys) * PARTICIPANTS: Medical providers and medical staff \>= 18 years of age * PARTICIPANTS: Primary care providers and medical office staff who deliver adolescent care at community-based primary care practice sites across 20 rural counties in central and western New York * PARTICIPANTS: Age \>= 18 years of age (no upper limit) * PARTICIPANTS: English speaking * PARENT/GUARDIAN SURVEY: Adult accompanying a child or children aged 9 to 17 * PARENT/GUARDIAN SURVEY: English speaking * PARENT/GUARDIAN SURVEY: Presenting to the participating clinic for an outpatient well child visit or regular checkup * PARENT/GUARDIAN SURVEY: Willing to complete an anonymous survey while visiting the clinic Exclusion Criteria: * Unwilling or unable to follow protocol requirements * Adults unable to complete study measures in English * Individuals who are not yet adults (infants, children, teenagers) * Cognitively impaired adults/adults with impaired decision-making capacity * Prisoners